Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $352.00 / $2,128.00 / $7,513.00	Facility		$352.00	$2,128.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.85 / $217.35 / $347.69	Professional		$138.85	$217.35	$347.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $730.85 / $1,299.28 / $2,752.85	Facility		$730.85	$1,299.28	$2,752.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.40 / $200.65 / $331.80	Professional		$133.40	$200.65	$331.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $134.10 / $134.71	Facility		$80.00	$134.10	$134.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $265.33 / $265.33 / $265.33	Facility		$265.33	$265.33	$265.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.93 / $267.56 / $447.18	Professional		$171.93	$267.56	$447.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $895.75 / $11,500.00 / $12,000.00	Facility		$895.75	$11,500.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,146.80 / $1,751.00 / $1,984.20	Professional		$1,146.80	$1,751.00	$1,984.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $152.07 / $247.67 / $448.66	Facility		$152.07	$247.67	$448.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $197.64 / $282.77 / $415.71	Professional		$197.64	$282.77	$415.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $169.40 / $284.08 / $559.10	Professional		$169.40	$284.08	$559.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $152.38 / $251.65 / $451.92	Facility		$152.38	$251.65	$451.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $171.93 / $277.91 / $467.90	Professional		$171.93	$277.91	$467.90
United Facility/Professional Facility Modifier Low / Median / High Price $374.00 / $1,529.00 / $3,287.00	Facility		$374.00	$1,529.00	$3,287.00
United Facility/Professional Professional Modifier Low / Median / High Price $197.19 / $262.62 / $436.78	Professional		$197.19	$262.62	$436.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $197.11 / $222.89 / $313.01	Professional		$197.11	$222.89	$313.01